Carolyn Jolly
NPI 1104839968 · Nurse Practitioner · Pismo Beach, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolyn Jolly is a Nurse Practitioner provider in Pismo Beach, CA (NPI 1104839968).
Provider details
- NPI number
- 1104839968
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NP16453 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
774 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 173 | $101 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 158 | $83 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 138 | $117 |
| Urinalysis, Manual Test81002 | 64 | $3 |
| X-Ray of Chest, 2 Views71046 | 53 | $32 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 50 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 32 | 32 |
| Prednisone | 28 | 27 |
| Cefdinir | 23 | 23 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 17 | 17 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 13 | 13 |
| Amoxicillin | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$48 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 5920 West MallAtascadero, CA 93422-4232Phone: (805) 466-0676Fax: (805) 466-4862
- 217 W Central Ave Ste GLompoc, CA 93436-2830Phone: (805) 735-4292Fax: (805) 735-4293
- 1102 E Clark Ave Ste 120aSanta Maria, CA 93455-5175Phone: (805) 332-8185Fax: (805) 332-8186
- 2271 S Depot StSanta Maria, CA 93455-1216Phone: (805) 922-0561Fax: (805) 922-0083
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Frequently asked questions
- What is Carolyn Jolly's NPI number?
- Carolyn Jolly's National Provider Identifier (NPI) is 1104839968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Jolly's specialty?
- Carolyn Jolly is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carolyn Jolly located?
- Carolyn Jolly's practice location on file with NPPES is 877 Oak Park Blvd, Pismo Beach, CA 93449-3292.
- What is Carolyn Jolly's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Jolly is (805) 474-8450.
- Does Carolyn Jolly accept Medicare?
- Carolyn Jolly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carolyn Jolly's NPI active?
- Yes — Carolyn Jolly's NPI (1104839968) is active in the NPPES registry as of the last update on 2023-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.